Up to around a quarter of adults with learning disabilities (LD) use key word signing (KWS); using signs to support important words in their spoken language. Some users might use KWS as an alternative communication system without speech. KWS is used to support both expressive and receptive language. It is thought that the use of KWS, adding a visual input to the auditory given by speech, helps to support understanding. In addition the use of KWS usually slows the rate of speech and might simplify the message.

This study used interview data to investigate the views of 5 teachers and 5 support staff working with people with learning disabilities (LD) who used key word signing (KWS) towards its use. The attitudes of communication partners to the use of KWS are key to its success. Without a positive view it is less likely to be used successfully by and with people who have LD.

Many people with disabilities live in poverty. Providing augmentative and alternative communication (AAC) services for people with complex communication needs (CCN) who live in low and middle income (LAMI) countries can be challenging. Many individuals in LAMI countries do not receive communication rehabilitation services.

Children with complex communication needs (CCN) often continue to experience educational and social barriers even after they have received appropriate augmentative and alternative communication (AAC) systems. This means that opportunities to communicate functionally need to be created and supported in the children’s natural environments including schools.

Children with complex communication needs (CCN) often continue to experience educational and social barriers even after they have received appropriate augmentative and alternative communication (AAC) systems.

It is known that in interactions involving people who use AAC the naturally speaking partner tends to be dominant and take the lead, usually by asking a lot of direct questions. Children who use AAC often have limited opportunities to initiate new topics of conversation instructions and the majority of interactions are with adults not peers.